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Mountie Fresh Basic Needs Resources Intake Form

This tool will assist us with determining how to best respond to your basic needs insecurities prior to your meeting with the Mountie Fresh Basic Needs Resources Coordinator. Submitting this form does not automatically guarantee approval for all services requested. Most services are currently only available for enrolled students. If this is a life threatening emergency, please contact campus safety at (909)274-4555 or dial 911.

Please select the Basic Need insecurity you are experiencing
Are you currently an enrolled Mt. SAC student?
Are you currently employed?
Are you receiving Financial Aid?
Please indicate which programs you are currently connected with:
Please indicate which on-campus services you are currently utilizing